Academic Journal
Changes in serum testosterone and adrenal androgen levels in transgender women with and without gonadectomy
| Τίτλος: | Changes in serum testosterone and adrenal androgen levels in transgender women with and without gonadectomy |
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| Συγγραφείς: | Collet, Sarah, Gieles, Noor, Wiepjes, Chantal M., Heijboer, Annemieke C., Reyns, Tim, Fiers, Tom, Lapauw, Bruno, den Heijer, Martin, T'Sjoen, Guy |
| Πηγή: | JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM ; ISSN: 0021-972X ; ISSN: 1945-7197 |
| Έτος έκδοσης: | 2023 |
| Συλλογή: | Ghent University Academic Bibliography |
| Θεματικοί όροι: | Medicine and Health Sciences, Social Sciences, gonadectomy, testosterone, androgens, liquid chromatographytandem mass spectrometry, gender-affirming hormone therapy, transgender women |
| Περιγραφή: | Background Initiating feminizing gender-affirming hormone therapy (GAHT) in transgender women causes a steep decline in serum testosterone. It is unknown if testosterone concentrations change further and whether adrenal androgen levels change during feminizing GAHT and after gonadectomy. This limits clinical decision making in transgender women with symptoms attributed to GAHT or gonadectomy. Methods Transgender women (n = 275) initiating estradiol and cyproterone acetate (CPA) were included at baseline, and had follow-up visits after 3 months, 12 months, and 2 to 4 years. During follow-up, 49.5% of transgender women underwent a gonadectomy. Total testosterone (TT), dehydroepiandrosterone (DHEA), dehydroepiandrosterone sulfate (DHEAS), and androstenedione (A4) were measured using liquid chromatography tandem mass spectrometry. Results After 3 months of GAHT, mean TT, calculated free testosterone (cFT), and A4 decreased by 18.4 nmol/L (95% CI, -19.4 to -17.4, P < 0.001 [ie, -97.1%]), 383 pmol/L (95% CI, -405 to -362, P < 0.001 [ie, -98.3%]), and 1.2 nmol/L (95% CI, -1.4 to -1.0, P < 0.001 [ie, -36.5%]), respectively, and remained stable thereafter. DHEA and DHEAS decreased by 7.4 nmol/L (95% CI, -9.7 to -5.1 [ie, -28.0%]) and 1.8 mu mol/L (95% CI, -2.2 to -1.4 [ie, -20.1%]), respectively, after 1 year and did not change thereafter. After gonadectomy, CPA therapy is stopped, which induced no further change in TT, cFT, DHEA, DHEAS, and A4 compared with those who did not undergo gonadectomy. Conclusions Our findings confirm that after an initial drop, testosterone levels in transgender women remain stable. Adrenal androgens decrease in the first year of CPA and estrogen supplementation and remain unchanged after gonadectomy. Androgens did not change after gonadectomy and cessation of CPA. Correlates with clinical symptoms remain to be elucidated. |
| Τύπος εγγράφου: | article in journal/newspaper |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English |
| Relation: | https://biblio.ugent.be/publication/01GT969WVBMRV6WK0Q1S8RS2TQ; https://doi.org/10.1210/clinem/dgac576; https://biblio.ugent.be/publication/01GT969WVBMRV6WK0Q1S8RS2TQ/file/01GT96DMFENNQ0HVKP9BSEBCX6 |
| DOI: | 10.1210/clinem/dgac576 |
| Διαθεσιμότητα: | https://biblio.ugent.be/publication/01GT969WVBMRV6WK0Q1S8RS2TQ https://hdl.handle.net/1854/LU-01GT969WVBMRV6WK0Q1S8RS2TQ https://doi.org/10.1210/clinem/dgac576 https://biblio.ugent.be/publication/01GT969WVBMRV6WK0Q1S8RS2TQ/file/01GT96DMFENNQ0HVKP9BSEBCX6 |
| Rights: | info:eu-repo/semantics/openAccess |
| Αριθμός Καταχώρησης: | edsbas.E37F385A |
| Βάση Δεδομένων: | BASE |
| DOI: | 10.1210/clinem/dgac576 |
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